CHAPTER 14 ANTIHISTAMINES AND NASAL DECONGESTANTS

CHAPTER 14 ANTIHISTAMINES AND NASAL DECONGESTANTS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. An inflammatory response of the nasal mucosa resulting in the release of histamine and other chemical agents, causing increased secretion of mucus as well as congestion and sneezing, is called:

a.	allergic rhinitis.	c.	flu.
b.	common cold.	d.	viral infection.

 

 

ANS:  A

 

	Feedback
A	Correct: Allergic rhinitis occurs when allergens initiate the immunological response.
B	Incorrect: This is caused by a virus.
C	Incorrect: This is caused by a virus.
D	Incorrect: This is caused by a virus.

 

 

PTS:   1                    REF:   p. 364            OBJ:   Cognitive Level: Knowledge

 

2. The nurse understands that histamine, a naturally occurring substance in the body that is released in response to tissue damage, causes all the following symptoms except:

a.	it dilates the arterioles to allow increased blood supply to the area.
b.	gastrointestinal upset.
c.	increased mucus production.
d.	itching.

 

 

ANS:  B

 

	Feedback
A	Incorrect: Histamine causes this response.
B	Correct: Histamine does not cause GI upset.
C	Incorrect: Histamine causes this response.
D	Incorrect: Histamine causes this response.

 

 

PTS:   1                    REF:   p. 365            OBJ:   Cognitive Level: Comprehension

 

3. Which of the following local corticosteroid is administered as a nasal vapor?

a.	fluticasone propionate	c.	desloratidine
b.	fexofenadine/pseudoephedrine	d.	cetirizine

 

 

ANS:  A

 

	Feedback
A	Correct: Fluticasone propionate is administered as a nasal mist.
B	Incorrect: This is an oral antihistamine.
C	Incorrect: This is an oral antihistamine.
D	Incorrect: This is an oral antihistamine.

 

 

PTS:   1                    REF:   p. 367            OBJ:   Cognitive Level: Knowledge

 

4. Which of the following clients with upper respiratory infections should the nurse refer to the health care provider for treatment and supervision include:

a.	an 18-year-old college student	c.	a 55-year-old contractor
b.	a 35-year-old administrative assistant	d.	a 75-year-old retired school teacher

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is not a client with particular risk for complications.
B	Incorrect: This is not a client with particular risk for complications.
C	Incorrect: This is not a client with particular risk for complications.
D	Correct: The elderly and very young children should be referred to a health care provider.

 

 

PTS:   1                    REF:   p. 378            OBJ:   Cognitive Level: Application

 

5. When instructing an adult client about the administration of nose drops, nurse tells the client to assume what position:

a.	seated in the upright position.
b.	in supine position with the neck hyperextended to 90 degrees.
c.	in supine position with the neck hyperextended to 45 degrees.
d.	in any comfortable position.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is the appropriate position for administering nasal spray.
B	Correct: This is the appropriate position for administering nasal drops.
C	Incorrect: This is not the proper head angle.
D	Incorrect: This is not the rationale for positioning a client for nasal drops.

 

 

PTS:   1                    REF:   p. 375            OBJ:   Cognitive Level: Application